Getting rid of seborrheic dermatitis is a difficult task. Seborrheic eczema treatment decisions has to take in account the patho-physiological basis of the disease.
Here are a few tips on how to get rid of seborrheic dermatitis.
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How to Get Rid of Seborrheic Dermatitis
1. HOW I MANAGE IT
DR. HANISH BABU, MDDR. HANISH BABU, MD
Dermatologist & VenereologistDermatologist & Venereologist
City Medical Centre, Ajman, UAECity Medical Centre, Ajman, UAE
Read about: How to Get Rid of Seborrheic Dermatitis
Copyright Dr.Hanish Babu, MD, 2009
2. THE DEFINITION
Seborrhoeic Dermatitis is a hyperproliferative
disorder of the epidermis in the sebaceous rich areas
of the body associated with increased and altered
sebum production and yeast colonization.
Read about: How to Get Rid of Seborrheic Dermatitis
3. THE QUESTION:
Is the increased sebum production the primary
event?
Does the Malassezia colonization lead to increased
sebum production?
Read about: How to Get Rid of Seborrheic Dermatitis
8. DISEASE ASSOCIATED WITH
SEBORRHOEIC DERMATITIS
Parkinsonism
Other Neurological: Epilepsy, Idiopathic Post
Encephalitis syndrome
Immune deficiency: HIV, neoplasms, drug induced.
Immune Alterations: C5 deficiency: Leiner’s
Letterer Siwe: Scaling scalp with petechiae
Read about: How to Get Rid of Seborrheic Dermatitis
9. PRINCIPLES OF MANAGEMENT
Patient educationPatient education
No Cure. Like dental care: daily attention.
Regular Washing of scalp
Anti seborrhoeic treatment alternating with normql
shampooing
Hair tonics & tinctures with alcohol base:
Aggravate
Normal Soap & Shaving Creams: Use emollients and
emollient soap substitutes
Alter Food Habits: low fat, low sugar diet ;cut down
on the alcohol.
Manage Stress
10. MANAGEMENT
1. Regulation of Hyper-Seborrhea
Control Of Dietary Habits
Stress Management
Regular Washing without causing irritation
Avoidance of offending drug, alcohol
Usage of creams containing antiseborrhoeic agents:
Zinc Acetyl Methionate,
Undecylenic Acid Derivatives
Other antifungal creams and solutions to control
Malassezia
Read about: How to Get Rid of Seborrheic Dermatitis
11. MANAGEMENT
2. Control of the Yeast
Imidazole solutions or creams: 2-3 times a week
Antifungal shampoos: Daily till control,
then weekly twice.(Ketoconazole, Zinc
Pyrethrone,Cyclopirox,Undecylenic acid etc)
Regular Washing
Other shampoos: containing Tar ,Salicylic acid or
selenium sulphide
Avoidance of offending drug, alcohol
Control of Seborrhoea
Read about: How to Get Rid of Seborrheic Dermatitis
12. MANAGEMENT
3. Removal Of Thick Scales
Overnight application of tar/urea/salicylic acid
containing creams
Rubbing with warm mineral oil and washing off
If crusting and oozing: A course of antibiotic
with a steroid-antifungal cream for 5-7
days;once scales and 2ry infection is cleared;
start antimalassezia treatment
Read about: How to Get Rid of Seborrheic Dermatitis
13. MANAGEMENT
4. Severe and Un-responsive Cases
1- 2 Weeks’ course of systemic antiyeast
treatment with Ketoconazole,Itraconazole or
Fluconazole
Class IV or lower strength topical steroid
creams, lotions or solutions for acute flares
for 5-7 days only.
Continue with anti seborrhoeic/ antiyeast
measures
Other alternatives: Calcineurin derivatives
Pimecrolimus/tacrolimus, metronidazole gel,
Narrow band UVB therapy etc.
14. Read about: How to Get Rid of Seborrheic Dermatitis
Read about: How to Get Rid of Dandruff
Copyright Dr.Hanish Babu, MD, 2009
Notas do Editor
To start with, a working definition as a basis for building up the treatment protocol should be:Seborrhoeic Dermatitis is a hyperproliferative disorder of the epidermis of sebaceous rich areas associated with increased and altered sebum production and yeast colonization.
A severe, explosive onset of seborrheic dermatitis may be a marker for HIV infection, regardless of age. It may appear as a butterfly rash, similar to the acute facial eruption associated with systemic lupus erythematosus. The dermatitis appears early in persons with AIDS, affects 25-50% of persons with AIDS, and has greater involvement and greater activity in those with diminished T-cell function.